Individual
DIANA G MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3519 WILCOX AVE, BELLWOOD, IL 60104-2174
(630) 297-1769
Mailing address
2 LIBERTY CT, BOLINGBROOK, IL 60440-1115
(630) 297-1769
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.012812
IL
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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